FOAMed

EM@3AM: Oropharyngeal Candidiasis

A 32-year-old male with HIV presents to the ED for loss of taste. He noticed white plaques on his tongue. Although painless, the plaque is associated with a cotton sensation and a dull sense of taste. The patient reports being compliant with his medications and denies other symptoms. His tongue is covered in white curd-like plaques that are easily removed with scraping, leaving behind an erythematous base. The posterior oropharynx is without abnormality. What is the diagnosis?

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EM@3AM: Flexor Tendon Laceration

A 41-year-old male with no significant past medical history presents with a deep hand laceration. The patient states they were cutting an avocado when the knife pierced through and punctured his hand. He presented to the emergency department because he is having numbness distal to the site of injury, as well as constant bleeding and some difficulty with flexing his finger.

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